Doctor Name: | DR. HARPRABHJOT BAGGA |
NPI Number: | 1700822913 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | M1422 |
Business Practice Address: | 109 Ambersweet Way #501 Davenport, FL - 33897 |
Business Phone Number: | 9098414967 |
Business Fax Number: | |
Mailing Address: | 109 Ambersweet Way, #501 DAVENPORT |
State: | FL |
Postal Code: | 33897 |
Phone Number: | 9098414967 |
Fax Number: | |
NPI Enumeration Date: | 06/22/2006 |
NPI Last Update Date: | 05/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | M1422 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |